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All Journal Promotif: Jurnal Kesehatan Masyarakat SEHAT : JURNAL KESEHATAN TERPADU PESHUM Journal of Public Health Indonesian
Zhanaz Tasya
Universitas Muhammadiyah Palu
Humanities Dentistry Education Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Risk Factors Associated with Maternal Mortality in Donggala Regency, Indonesia: Evidence from a Case–Control Study (2020–2024) Tri Rizkiyanti alwi; Sudirman Sudirman; Zhanaz Tasya
Journal of Public Health Indonesian Vol. 2 No. 6 (2026): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/ttxa4d85

Abstract

Maternal mortality remains a significant public health problem and reflects the quality of maternal health services. Donggala Regency is one of the regions with a relatively high and fluctuating maternal mortality rate during the period 2020–2024. This study aimed to analyze risk factors and determine the most influential factors associated with maternal mortality in Donggala Regency from 2020 to 2024. This study employed an observational analytic design with a case–control approach, involving a total sample of 108 subjects, consisting of 54 cases and 54 controls, selected using purposive sampling. Secondary data were obtained from Maternal Verbal Autopsy (MVA) records and the maternal cohort registry. Data analysis was conducted using IBM SPSS Statistics, applying Odds Ratio (OR) and p-values for bivariate analysis, and multiple logistic regression for multivariate analysis. The results of the study showed that the risk factors for maternal mortality in Donggala Regency during 2020–2024 were a history of hemorrhage (AOR = 9.01; 95% CI = 1.61–50.64; p = 0.013), history of disease (AOR = 8.21; 95% CI = 1.56–43.32; p = 0.013), and incomplete antenatal care (ANC) visits (AOR = 6.14; 95% CI = 1.52–24.85; p = 0.011). Delay in referral was identified as the main and independent risk factor associated with maternal mortality (AOR = 10.05; 95% CI = 2.04–49.61; p = 0.005). Parity, interpregnancy interval, history of hypertensive disorders of pregnancy, and maternal education did not show statistically significant associations; however, they acted as confounding variables in the final multivariate model.Maternal mortality in Donggala District during 2020–2024 was significantly influenced by a history of hemorrhage, comorbid diseases, inadequate ANC, and referral delay. Referral delay was the strongest determinant of maternal mortality. These findings highlight the importance of early detection of pregnancy complications, adherence to standard ANC services, and an effective and timely maternal referral system to reduce maternal mortality
FAKTOR RISIKO KEJADIAN STUNTING PADA ANAK BALITA DI WILAYAH KERJA PUSKESMAS TIKKE RAYA KABUPATEN PASANGKAYU Arjunah Arjunah; Sudirman Sudirman; Zhanaz Tasya
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i3.57686

Abstract

Stunting masih menjadi salah satu tantangan kesehatan yang serius di Indonesia, termasuk di wilayah Sulawesi Barat yang mencatat angka prevalensi cukup tinggi. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang berkontribusi terhadap kejadian stunting pada anak usia 24-59 bulan di wilayah kerja Puskesmas Tikke Raya, Kabupaten Pasangkayu. Rancangan studi yang digunakan adalah case control dengan jumlah sampel sebanyak 122 responden (61 kasus dan 61 kontrol) yang dipilih melalui teknik proportional random sampling. Pengumpulan data dilakukan menggunakan kuesioner dan data pengukuran antropometri anak. Analisis data mencakup uji bivariat menggunakan odds ratio (OR) serta analisis multivariat dengan regresi logistik. Hasil analisis bivariat mengidentifikasi sejumlah variabel sebagai faktor risiko yang signifikan, yaitu pengetahuan ibu (OR=3,147; 95% CI: 1,502–6,594), pola makan (OR=4,986; 95% CI: 2,300–10,808), riwayat berat badan lahir rendah atau BBLR (OR=2,818; 95% CI: 1,161–6,842), riwayat penyakit infeksi (OR=2,605; 95% CI: 1,243–5,459), serta ketidaktersediaan ASI eksklusif (OR=2,553; 95% CI: 1,230–5,299). Di sisi lain, pendapatan keluarga yang memadai terbukti berperan sebagai faktor pelindung atau protektif (OR=0,391; 95% CI: 0,154–0,991). Pada analisis multivariat, tiga variabel yang tetap signifikan adalah pola makan (OR=4,420; p=0,017), riwayat pemberian ASI eksklusif (OR=3,621; p=0,006), dan pendapatan orang tua (OR=0,167; p=0,003). Pola makan menjadi faktor paling dominan dalam penelitian ini. Kesimpulan penelitian menunjukkan perlunya intervensi terpadu yang menyasar perbaikan pola makan balita, peningkatan cakupan ASI eksklusif, dan perbaikan kondisi ekonomi keluarga dalam upaya menurunkan prevalensi stunting di wilayah ini.
Mindfulness Intervention and Nutrition Education for the Prevention of Diabetes Mellitus in Adolescents in Palu City Fathurahmi F. Rum; Zhanaz Tasya
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 2: DECEMBER 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i2.9603

Abstract

Introduction: Diabetes Mellitus (DM) is a growing public health problem, including among adolescents, due to unhealthy lifestyle changes and high levels of psychosocial stress. Preventing DM in adolescents requires a comprehensive approach that integrates nutritional knowledge, stress management, and mental health. This study aims to analyze the effectiveness of a combined intervention of mindfulness therapy and nutrition education on increasing knowledge, changing attitudes, reducing anxiety levels, and improving blood sugar levels in adolescents in Palu City. Methods: This study used a quasi-experimental design with a pre-test and post-test control group approach. The sample consisted of 60 adolescents aged 15–19 years who were divided into a treatment group (n=30) and a control group (n=30). The treatment group received 8 weeks of mindfulness therapy intervention accompanied by nutrition education, while the control group did not receive mindfulness intervention. Data were collected using knowledge and attitude questionnaires, the Hamilton Rating Scale for Anxiety (HARS) instrument, and blood sugar level measurements. Data analysis was performed using the Wilcoxon test and paired t-test with a significance level of 0.05. Results: Results: Based on the data distribution, the analysis was conducted using the Paired t-test (parametric) and the Wilcoxon test (non-parametric) at ?=0.05. Statistically, there was a significant increase in knowledge (33.3% to 96.6%) and positive attitude (6.7% to 53.3%), as well as a significant change in anxiety levels, namely a decrease in the severe category (33.3% to 10%) and an increase in the normal category (26.6% to 60%). In addition, the proportion of normal blood sugar levels increased from 56.6% to 76.6%, with all changes being statistically significant (p < 0.05). Conclusion: The combined intervention of mindfulness therapy and nutrition education effectively improved knowledge and attitudes, reduced anxiety levels, and improved physiological parameters in adolescents in the prevention of diabetes mellitus. This integrative approach has the potential to become a holistic and sustainable strategy for the promotion and prevention of DM in school-based adolescents.
Analisis Determinan yang Mempengaruhi Terjadinya Luka Operasi Caesar di Rumah Sakit Umum Daerah Anutapura Palu Masiti Masiti; Sudirman; Zhanaz Tasya; Rajindra; Budiman; Hamidah
PESHUM : Jurnal Pendidikan, Sosial dan Humaniora Vol. 5 No. 4: Juni 2026
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/peshum.v5i4.16885

Abstract

Infeksi luka operasi merupakan salah satu komplikasi pasca tindakan sectio caesarea yang masih menjadi masalah serius dalam pelayanan kesehatan karena dapat meningkatkan angka morbiditas, lama hari rawat, serta biaya perawatan. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan Alat Pelindung Diri (APD) dan personal hygiene terhadap kejadian infeksi luka operasi serta menentukan variabel yang paling dominan. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Sampel penelitian berjumlah 70 responden yang diambil dengan teknik total sampling. Pengumpulan data dilakukan melalui observasi dan kuesioner. Analisis data menggunakan uji bivariat (Fisher’s Exact Test) dan uji multivariat (regresi logistik). Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan antara penggunaan APD dengan kejadian infeksi luka operasi (p = 0,000), dengan proporsi infeksi lebih tinggi pada penggunaan APD tidak sesuai (87,9%) dibandingkan sesuai (18,9%) dan nilai Odds Ratio (OR) sebesar 31,07. Personal hygiene juga menunjukkan pengaruh signifikan (p = 0,000), dimana seluruh responden dengan personal hygiene tidak baik mengalami infeksi (100%), sedangkan pada personal hygiene baik hanya 12,8% yang mengalami infeksi. Hasil analisis multivariat menunjukkan bahwa personal hygiene merupakan variabel paling dominan dengan nilai p = 0,009 dan Exp(B) = 1,550. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan antara penggunaan APD dengan kejadian infeksi luka operasi (p = 0,000), dengan proporsi infeksi lebih tinggi pada penggunaan APD tidak sesuai (87,9%) dibandingkan sesuai (18,9%) dan nilai Odds Ratio (OR) sebesar 31,07. Personal hygiene juga menunjukkan pengaruh signifikan (p = 0,000), dimana seluruh responden dengan personal hygiene tidak baik mengalami infeksi (100%), sedangkan pada personal hygiene baik hanya 12,8% yang mengalami infeksi. Hasil analisis multivariat menunjukkan bahwa personal hygiene merupakan variabel paling dominan dengan nilai p = 0,009 dan Exp(B) = 1,550.
Co-Authors Arjunah Arjunah Budiman Budiman Fathurahmi F. Rum Hamidah Masiti Masiti Rajindra Sudirman Sudirman Tri Rizkiyanti alwi